• Northwell Health (Westbury, NY)
    …diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN - BSN or MSN candidates with a HCS-D ... charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules...and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State… more
    Upward (07/21/25)
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  • UPMC Senior Communities (Wexford, PA)
    Registered Health Information Technician (RHIT) Licensed Professional Nurse (LPN) Registered Nurse ( RN ) UPMC is an Equal Opportunity ... Professional Medical Auditor (CPMA) Certified Professional Coder (CPC) Certified Medical Coder (CMC) Registered Health Information Administrator (RHIA) … more
    Upward (07/03/25)
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  • Ochsner LSU Health System (Shreveport, LA)
    …of related healthcare experience with a master's degree. Certifications Required - Current registered nurse ( RN ) license in state of practice. Preferred ... with the clinical departments to ensure all charges and medical documentation are appropriate and complete for health information...projects and conducts internal training to ensure competency and compliance in all aspects of the revenue cycle. To… more
    Upward (07/20/25)
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  • Ochsner Health (New Orleans, LA)
    …Works with the clinical providers , on- site case management team, as well as LPN/ RN or Nurse Auditor in the Pre-Service department. Performs Pre-Service ... Required - 1 year related experience inf related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling,… more
    Upward (07/11/25)
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  • ( RN ) HCS-D, COS-C - Registered

    Northwell Health (Westbury, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a...assignment can be substantiated by the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare/non-Medicare… more
    Northwell Health (06/02/25)
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  • Billing Compliance Auditor

    Elara Caring (Fort Worth, TX)
    …Time, in the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, ... billing, coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited...in Nursing + 5 years of experience as a Registered Nurse in Home Health and/or Hospice… more
    Elara Caring (07/09/25)
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  • Clinical Auditor RN - Hybrid

    Baylor Scott & White Health (Dallas, TX)
    …on position type and/or level **Job Summary** In this job, as a Clinical Auditor RN , you'll perform charge capture accuracy audits by reviewing and analyzing ... tasks in clinical departments/functions. + Evaluate clinical documentation for compliance , meeting all regulations stipulated by federal and state...least (2) two years of relevant work experience. + Registered Nurse License. As a health care… more
    Baylor Scott & White Health (07/18/25)
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  • RN PRN Surgery Chart Auditor

    Community Health Systems (Huntsville, AL)
    **Job Summary** The Registered Nurse ( RN ) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and ... based on patient assessments and needs. + Responds to medical emergencies and participates in life-saving interventions, such as...control, and quality improvement initiatives. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (07/02/25)
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  • Compliance Auditor , Intermediate…

    UPMC (Pittsburgh, PA)
    Registered Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) Required: + Act 34 **UPMC is an Equal ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring... (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder (CMC) + OR Registered Health… more
    UPMC (07/11/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented... (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder (CMC) + Registered Health Information… more
    UPMC (07/24/25)
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  • Compliance Auditor , Intermediate…

    UPMC (Wexford, PA)
    …Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) + Registered Nurse ( RN ) **UPMC is an Equal Opportunity ... selves? UPMC Children's Community Pediatrics is hiring a Full-Time Compliance Auditor , Intermediate to support the office... (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder (CMC) + Registered Health Information… more
    UPMC (06/29/25)
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  • Internal Auditor Senior - Organizational…

    PeaceHealth (Vancouver, WA)
    …Public Accountant or Certified Internal Auditor orCertified Information Systems Auditor . + Registered Health Information Administrator (for Coding Auditor ... ), Registered Health Information Technician (for Coding Auditor ), Certified Professional Coder (for Coding Auditor ), Certified Coding Specialist Physician… more
    PeaceHealth (07/03/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... medical necessity or appropriateness of services. + Conducts compliance , defense, LifeNet and special focus audits and reports...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered more
    Childrens Hospital of The King's Daughters (07/24/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
    UNC Health Care (04/29/25)
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  • Inpatient Auditor

    ManpowerGroup (St. Paul, MN)
    …convert to FTE **What's the Job?** + Participate in auditing tasks of medical record coding, documentation, compliance , and DRG assignment. + Demonstrate ... Our client, a leader in healthcare innovations, is seeking an Inpatient Auditor to join their team. As an Inpatient Auditor , you will be part of the Consulting… more
    ManpowerGroup (07/19/25)
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  • Charge Integrity Auditor

    Nuvance Health (Danbury, CT)
    *Description* *Summary:* The Charge Integrity Auditor performs detailed chart to bill audits of inpatient or outpatient medical accounts, comparing the ... practices across the Nuvance Health System. The Charge Integrity Auditor coordinates and reports audits savings or losses for...reports audits savings or losses for the facilities and medical groups, data processing errors, the performance of the… more
    Nuvance Health (07/18/25)
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  • Compliance Auditor /Analyst…

    ProMedica Health System (Toledo, OH)
    REPORTING RELATIONSHIPS Reports to the Director of Compliance Shared Services within the Compliance Department. POSITION SUMMARY Utilize compliance expertise ... to assist in the performance of compliance audits and support regulatory compliance functions at all entities across the system as a service to the Board of… more
    ProMedica Health System (07/24/25)
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  • Compliance Auditor (clinical)

    Centene Corporation (Salem, OR)
    …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... + Train internal audit participants/business owners on audit tools and Medical Management criteria including CM, DM, and UM **Education/Experience:** Bachelor's… more
    Centene Corporation (07/24/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to… more
    St. Luke's University Health Network (07/08/25)
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  • System CDI Quality Team Leader Educator

    AdventHealth (Altamonte Springs, FL)
    …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . Current active State license as a Registered Nurse , Nurse Practitioner, or Physician's Assistant . ... to provide feedback to CDI Market Leaders + Performs quality reviews of the medical record for compliance including completeness and accuracy for severity of… more
    AdventHealth (06/06/25)
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